Mulligan mobilization and stretching for cervical radiculopathy
Official title: Effects of Mulligan Mobilization and Stretching on Cervical Radiculopathy
Run by Riphah International University · NCT07045974 · Data updated 2026-11-12
This will test whether Mulligan mobilization or targeted neck-stretching exercises reduce pain, lower disability, and improve neck motion for adults aged 20–50 with cervical radiculopathy.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 20 Years to 50 Years |
| Sex | All |
| Enrollment | 30 (estimated) |
| Sponsor | Riphah International University Academic / other |
| Locations | 1 site (Peshawar, KPK) |
| Status | Recruiting |
| Started | July 15, 2025 |
| Main results expected | July 30, 2026 |
| Study ends | December 30, 2026 |
| Registry record updated | February 25, 2026 |
| Trial ID | NCT07045974 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults 20–50 years old with neck pain radiating to the arm and positive Spurling, ULTT, cervical distraction, and symptomatic-side rotation tests who can attend in-person treatment.
✕Probably not a fit
Patients with systemic musculoskeletal disease, primary shoulder/upper-extremity problems, cardiovascular or respiratory disorders, vertebrobasilar insufficiency, canal stenosis, or cervical osteophytes (or those outside the 20–50 age range) are unlikely to be eligible or to benefit from these interventions.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
Adults with cervical radiculopathy who have positive clinical tests (Spurling, ULTT, cervical distraction, and rotation toward the symptomatic side) are assigned to receive either Mulligan mobilization or a program of stretching exercises. Pain, disability level, and cervical range of motion are measured before and after the intervention to compare effects between the two groups. Participants with systemic musculoskeletal disease, primary shoulder problems, cardiovascular or respiratory disorders, or specific cervical pathology (for example stenosis or osteophytes) are excluded. The interventions are delivered in-person at clinical sites in Peshawar, Pakistan.
Why it matters
Potential benefit: If effective, these manual therapy or exercise approaches could reduce pain and disability and improve neck movement, offering a low-cost non-surgical option.
How similar studies have gone: Previous smaller physiotherapy trials have shown mixed but generally promising results for Mulligan mobilization and targeted stretching in reducing neck pain and improving motion.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Participants falling in this category would be recruited into the study. * Both genders * Age between 20-50 years * Subjects with neck pain radiating down to the arm * Patients with positive findings for spurling test, Upper Limb Tension Test (ULTT), cervical distraction test and cervical rotation test towards the symptomatic side * Subjects who were willing to participate in the study and willing to take treatment for cervical radiculopathy. Exclusion Criteria: * Participant failing to fall in this category would be excluded of the study. * Systemic disease potentially affecting the musculoskeletal system Patients experiencing primary shoulder or upper extremity problem of local origin * Patients with any cardiovascular disorders and respiratory disorders * Patients with any other pathological conditions involving cervical spine like vertebro basilar insufficiency and canal stenosis * Patients having osteophytes in cervical vertebrae * Patients who were undergoing treatment for neck pain with other means of physiotherapy at the time of the study * Hypermobile joints of cervical vertebrae, Cervical fractures, spinal surgery or other spinal pathologies (i.e. ankylosing spondylitis, spondylolysthesis) * Peripheral nerve lesions like neurotemesis and axonotemesis
Where it's running
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Leady Reading Hospital (LRH), Hayatabad Medical Complex (HMC)
Peshawar, Kpk, Pakistan Recruiting
Study contacts
- Principal investigator: Ayesha Sadiq, MSPT (OMPT) — Riphah International University
- Study coordinator: Ayesha Sadiq, MSPT (OMPT)
- Email: ayesha.sadiq@riphah.edu.pk
- Phone: 03346257484
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.